Customer Satisfaction Assessment

Customer Information (Optional)	Date	Time

Customer Satisfaction Review

Survey Questions	Field	Options/Details
Overall Satisfaction	On a scale of 1 to 5, how satisfied are you with your overall experience? ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5
Product/Service Quality	☐ Excellent ☐ Good ☐ Average ☐ Poor ☐ Very Poor
Customer Service Experience	☐ Very Satisfied ☐ Satisfied ☐ Neutral ☐ Dissatisfied ☐ Very Dissatisfied
Value for Money	☐ Strongly Agree ☐ Agree ☐ Neutral ☐ Disagree ☐ Strongly Disagree
Delivery and Timeliness	☐ Yes, it was on time ☐ No, it was delayed
Open-Ended Questions	What did you like most about our product/service?
	What can we do to improve your experience?
Net Promoter Score (NPS)	How likely are you to recommend us to a friend or colleague?	On a scale of 0 to 10: ☐ 0 ☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐ 6 ☐ 7 ☐ 8 ☐ 9 ☐ 10
Follow-Up Action (Optionl)	Would you like a team member to contact you regarding your feedback?	☐ Yes ☐ No